Dr David M Montgomery, MD | |
30575 Woodward Ave, Royal Oak, MI 48073-0980 | |
(248) 280-8550 | |
(248) 280-8567 |
Full Name | Dr David M Montgomery |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 30575 Woodward Ave, Royal Oak, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013911510 | NPI | - | NPPES |
4459527 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 4301047332 (Michigan) | Primary |
207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 4301047332 (Michigan) | Secondary |
Entity Name | Beaumont Medical Group- Specialty Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
Mailing Address | Practice Location Address |
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Dr David M Montgomery, MD 30575 Woodward Ave, Royal Oak, MI 48073-0980 Ph: (248) 280-8550 | Dr David M Montgomery, MD 30575 Woodward Ave, Royal Oak, MI 48073-0980 Ph: (248) 280-8550 |
Justin Taylor Deslaurier, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3535 W 13 Mile Rd Ste 742, Royal Oak, MI 48073 Phone: 248-551-9100 | |
Dr. Mark Edward Jacobson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 30575 Woodward Ave Ste 100, Royal Oak, MI 48073 Phone: 248-280-8550 Fax: 248-280-8571 | |
Dr. Ali Hassan Jawad, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Robert Scott Dean, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd Ste 742, Royal Oak, MI 48073 Phone: 248-551-9100 | |
Jacob Kasper, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Kaleb Howard, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 |